Measures of Quality of Life Among Persons with Severe and Persistent Mental Disorders

1996 ◽  
pp. 75-92 ◽  
Author(s):  
Anthony F. Lehman
Keyword(s):  
Quality Of Life ◽  
Mental Disorders

scholarly journals The effects of intensive home treatment on self-efficacy in patients recovering from a psychiatric crisis

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ansam Barakat ◽  
Matthijs Blankers ◽  
Jurgen E Cornelis ◽  
Nick M Lommerse ◽  
Aartjan T F Beekman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Self Efficacy ◽  
Psychotic Disorders ◽  
Rating Scale ◽  
Small Sample ◽  
Home Treatment ◽  
Differential Effects ◽  
Psychiatric Crisis

Abstract Background This study evaluated whether providing intensive home treatment (IHT) to patients experiencing a psychiatric crisis has more effect on self-efficacy when compared to care as usual (CAU). Self-efficacy is a psychological concept closely related to one of the aims of IHT. Additionally, differential effects on self-efficacy among patients with different mental disorders and associations between self-efficacy and symptomatic recovery or quality of life were examined. Methods Data stem from a Zelen double consent randomised controlled trial (RCT), which assesses the effects of IHT compared to CAU on patients who experienced a psychiatric crisis. Data were collected at baseline, 6 and 26 weeks follow-up. Self-efficacy was measured using the Mental Health Confidence Scale. The 5-dimensional EuroQol instrument and the Brief Psychiatric Rating Scale (BPRS) were used to measure quality of life and symptomatic recovery, respectively. We used linear mixed modelling to estimate the associations with self-efficacy. Results Data of 142 participants were used. Overall, no difference between IHT and CAU was found with respect to self-efficacy (B = − 0.08, SE = 0.15, p = 0.57), and self-efficacy did not change over the period of 26 weeks (B = − 0.01, SE = 0.12, t (103.95) = − 0.06, p = 0.95). However, differential effects on self-efficacy over time were found for patients with different mental disorders (F(8, 219.33) = 3.75, p < 0.001). Additionally, self-efficacy was strongly associated with symptomatic recovery (total BPRS B = − 0.10, SE = 0.02, p < 0.00) and quality of life (B = 0.14, SE = 0.01, p < 0.001). Conclusions Although self-efficacy was associated with symptomatic recovery and quality of life, IHT does not have a supplementary effect on self-efficacy when compared to CAU. This result raises the question whether, and how, crisis care could be adapted to enhance self-efficacy, keeping in mind the development of self-efficacy in depressive, bipolar, personality, and schizophrenia spectrum and other psychotic disorders. The findings should be considered with some caution. This study lacked sufficient power to test small changes in self-efficacy and some mental disorders had a small sample size. Trial registration This trial is registered at Trialregister.nl, number NL6020.

The impact of stigma and discrimination on the quality of life and social disability in persons with a diagnosis of mental disorder. A pilot study

2017 ◽  
Vol 41 (S1) ◽  
pp. S571-S571
Author(s):  
T.M. Gondek ◽  
K. Kotowicz ◽  
A. Kiejna
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Public Information ◽  
Scientific Data ◽  
Social Disability ◽  
Stigma And Discrimination ◽  
The Impact

Stigma and discrimination of persons diagnosed with mental disorder is a common issue. In many European countries, research studies on the prevalence and implications of this problem are conducted in order to better understand how to overcome it. In Poland, there is a scarcity of such studies, what results in neglecting this issue by the policy makers. The objective of the study is to assess the prevalence of stigma and discrimination affecting the patients hospitalized in psychiatric day units and in-patient wards between 2016–2017 as well as to analyze the relationship between the stigma and the quality of life and social disability in persons with a mental disorder diagnosis of F20–F48 according to ICD-10, aged 18–65, in a day ward and an in-patient ward settings. The pilot study presents the data gathered from a preliminary sample of 20 patients of both genders diagnosed with the aforementioned mental disorders, equaling 10 per cent of the targeted total study sample. The quality of life is assessed with WHOQOL-Bref, WHO-5 questionnaire and Rosenberg self-esteem scale, while social disability is measured with the second version of the Groningen Social Disabilities Schedule. The assessment of the impact of stigma on the social disability of persons with mental disorders and their quality of life can be useful in the context of developing evidence-based interventions for these persons, while it could also provide the scientific data to support public information campaigns aiming at tackling the stigma against persons with mental disorders in Poland.Disclosure of InterestThe authors have not supplied their declaration of competing interest.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN KUALITAS HIDUP ORANG DENGAN GANGGUAN JIWA

2018 ◽  
Vol 1 (2) ◽  
pp. 87
Author(s):  
Kadek Putra Sanchaya ◽  
Ni Made Dian Sulistiowati ◽  
Ni Putu Emy Darma Yanti
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Family Support ◽  
Quantitative Research ◽  
Sampling Technique ◽  
Rank Test ◽  
Cross Sectional ◽  
Respondent Characteristics ◽  
The Relationship

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND THE QUALITY OF LIFE OF PEOPLE WITH MENTAL DISORDERS  ABSTRACTMental disorder is one of the most serious health problems. Families have to spend more time to provide care to People with Mental Disorders at home. People with Mental Disorders (ODGJ) usually have problems with quality of life. The study aimed to determine the relationship between family support and the quality of life of People with Mental Disorders / ODGJ. This research is a quantitative research by using cross-sectional design with correlative analytic method. The sample of the research were 39 people selected by non probability sampling technique of purposive sampling. Data collection of respondent characteristics was conducted by using questionnaire of respondent characteristics. The level of family support was assessed by using family support questionnaires proposed by Friedman and the quality of life of the respondents was measured using the SQLS questionnaires. The findings showed that good and moderate family supports have the same percentage of 35.9%, while the results of the quality of life score showed that the majority of respondents had good quality of life (82.1%). Based on the analysis by using Spearman-Rank test, there is a significant correlation between family support and quality of life of respondents with p = 0,000 (p <0,05) and strong correlation value of 0.618 and positive correlation direction which means if family support increases then the quality of life of respondents will increase and vice versa. The future researchers are expected to exercise control over other factors that may affect the quality of life of People with Mental Disorders (ODGJ).

scholarly journals Comorbid mental disorders and quality of life of people with epilepsy attending primary health care clinics in rural Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0238137
Author(s):  
Ruth Tsigebrhan ◽  
Abebaw Fekadu ◽  
Girmay Medhin ◽  
Charles R. Newton ◽  
Martin J. Prince ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Seizure Frequency ◽  
Functional Disability ◽  
Social Outcomes ◽  
Primary Health ◽  
Comorbid Mental Disorders

Background Evidence from high-income countries demonstrates that co-morbid mental disorders in people with epilepsy adversely affect clinical and social outcomes. However, evidence from low-income countries is lacking. The objective of this study was to measure the association between co-morbid mental disorders and quality of life and functioning in people with epilepsy. Methods A facility-based, community ascertained cross-sectional survey was carried out in selected districts of the Gurage Zone, Southern Ethiopia. Participants were identified in the community and referred to primary health care (PHC) clinics. Those diagnosed by PHC workers were recruited. Co-morbid mental disorders were measured using a standardised, semi-structured clinical interview administered by mental health professionals. The main outcome, quality of life, was measured using the Quality of Life in Epilepsy questionnaire (QOLIE-10p). The secondary outcome, functional disability, was assessed using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-2). Results The prevalence of comorbid mental disorders was 13.9%. Comorbid mental disorders were associated with poorer quality of life (Adjusted (Adj.) β -13.27; 95% CI -23.28 to-3.26) and greater disability (multiplier of WHODAS-2 score 1.62; 95% CI 1.05, 2.50) after adjusting for hypothesised confounding factors. Low or very low relative wealth (Adj. β = -12.57, 95% CI -19.94 to-5.20), higher seizure frequency (Adj.β coef. = -1.92, 95% CI -2.83 to -1.02), and poor to intermediate social support (Adj. β coef. = -9.66, 95% CI -16.51 to -2.81) were associated independently with decreased quality of life. Higher seizure frequency (multiplier of WHODAS-2 score 1.11; 95% CI 1.04, 1.19) was associated independently with functional disability. Conclusion Co-morbid mental disorders were associated with poorer quality of life and impairment, independent of level of seizure control. Integrated and comprehensive psychosocial care is required for better health and social outcomes of people with epilepsy.

scholarly journals Quality Of Life In Caregivers Of Children And Adolescents With Mental Disorders

10.3823/1894 ◽  
2016 ◽  
Author(s):  
Manuela Carla de Souza Lima Daltro ◽  
Elicarlos Marques Nunes ◽  
José Cássio de Moraes ◽  
Patrícia Martins Montanari ◽  
Juliane de Oliveira Costa Nobre ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Children And Adolescents

Quality of Life in Mental Disorders

1999 ◽  
Vol 60 (7) ◽  
pp. 489-490
Author(s):  
Joel J. Silverman
Keyword(s):  
Quality Of Life ◽  
Mental Disorders

scholarly journals Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders

2016 ◽  
Vol 209 (6) ◽  
pp. 511-516 ◽  
Author(s):  
Paul Roux ◽  
Christine Passerieux ◽  
Marie-Josée Fleury
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Mediation Analysis ◽  
Structural Equation ◽  
Negative Impact ◽  
Equation Model ◽  
Service Performance ◽  
Personal Recovery ◽  
Recovery Orientation

BackgroundNeeds and service performance assessment are key components in improving recovery among individuals with mental disorders.AimsTo test the role of service performance as a mediating factor between severity of patients' needs and outcomes.MethodA total of 339 adults with mental disorders were interviewed. A mediation analysis between severity of needs, service performance (adequacy of help, continuity of care and recovery orientation of services) and outcomes (personal recovery and quality of life) was carried out using structural equation modelling.ResultsThe structural equation model provided a good fit with the data. An increase in needs was associated with lower service performance and worse outcomes, whereas higher service performance was associated with better outcomes. Service performance partially mediated the effect of patient needs on outcomes.ConclusionsPoorer service performance has a negative impact on outcomes for patients with the highest needs. Ensuring more efficient services for patients with high needs may help improve their recovery and quality of life.

scholarly journals Relative impact of Axis I mental disorders on quality of life among adults in the community

2011 ◽  
Vol 131 (1-3) ◽  
pp. 293-298 ◽  
Author(s):  
Bingqing Guan ◽  
Yunlong Deng ◽  
Patricia Cohen ◽  
Henian Chen
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Relative Impact ◽  
Axis I
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